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    An Overview . . .

    Basic components of a biomedical system

    Electrodes

    Amplifiers

    ECG

    EEG

    EMG

    ERG

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    o

    oo

    o

    oBiological

    SystemTransducer Signal

    Processor

    FeedbackTransform

    SurgicalTool

    Measurement

    Monitoring

    Diagnosis

    Surgery

    Therapy

    Block Diagram of a Generalised Bio Medical Instrument System

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    Each switch position connects an instrument for measurement, for

    monitoring, for diagnosis, for therapy or for surgery with the signal

    processor

    Transducer converts one form of energy or signal to another, its

    output is always an electrical signal

    Signal Processor amplifies, modifies or changes the electrical

    output of the transducer

    In the case of therapy, the signal is fed back to the biological system

    through the feedback transform

    In the case of surgery, a surgical tool is in contact with the biological

    system

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    Electrodes

    Employed to pick up the electrical signals of the body Hall cell potential voltage developed at an electrode electrolyte interface

    Perfectly polarised electrodes no net transfer of charge occurs across the

    metal electrolyte interface

    Perfectly non polarisable electrodes unhindered exchange of charge is

    possible across the metal electrolyte interface

    Electrolyte paste - used to reduce the contact impedance

    Types

    Microelectrodes

    Depth and Needle Electrodes

    Surface Electrodes

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    Microelectrodes

    Have smaller diameter

    No damage to the cells during insertion

    To measure the potential they, located within the cell

    Reference electrode is outside the cell

    Types

    Metallic

    Non Metallic (Micropipet)

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    RFA

    EA

    EC( t)RIN REX

    CWA

    RWA

    A

    B

    RFB

    RWB

    CWB

    RA

    RB

    RS

    CD

    o

    o

    Metal Microelectrode

    EB

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    RA denotes the resistance of the connecting wire (negligible)

    RS denotes the resistance of the shaft of the microelectrode (also negligible)

    RFA, RWA and CWA constitute the impedance of the microelectrode tip

    intracellular fluid interface

    RIN is the resistance of the intracellular fluid

    RB denotes the resistance of the connecting wire to the reference electrode

    (negligible)

    RFB, RWB and CWB constitute the impedance of the reference electrode tip

    extra cellular fluid interface

    REX is the resistance of the extra cellular fluid

    CD is the distributed capacitance between the insulated shaft of the

    microelectrode and the extra cellular fluid

    The capacitance between the tip of the microelectrode and the intracellular

    fluid is negligiblewww.eeecube.com

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    o

    o

    EC

    E = EA - EB

    RFA

    CWA RWA

    CD

    A

    B

    Equivalent Circuit

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    Since the area of the reference electrode is many times greater than

    the metal electrodes tip whose area of cross section is very small, its

    impedance is negligible

    The impedance of the microelectrode tip is inversely proportional to

    the area of the tip and frequency

    When the electrode output is coupled with an amplifier, the lowfrequency components of the bioelectric potential will be attenuated

    if the input impedance of the amplifier is not high

    Thus when the input impedance of the amplifier is not high enough,

    it behaves as a high pass filter

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    o

    o

    RTED

    EC

    RIN

    REX

    CD

    EB

    RFB

    RWB CWB

    EA

    RFA

    RWA CWA

    RA

    RB

    A

    B

    Micropipet

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    RA denotes the resistance of the connecting wire

    RFA, RWA and CWA constitute the impedance of the electrode

    electrolyte interface in the stem of the micropipet

    RT is the resistance of the electrolyte filling the tip of the micropipet

    (very large)

    RIN is the resistance of the intracellular fluid

    RB denotes the resistance of the connecting wire to the reference

    electrode

    RFB, RWB and CWB constitute the impedance of the reference

    electrode electrolyte interface

    REX is the resistance of the extra cellular fluid

    CD is the distributed capacitance between the fluid in the pipet and

    the extra cellular fluidwww.eeecube.com

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    o

    o

    EC

    E

    RT

    CD

    A

    B

    Equivalent Circuit

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    CD is the equivalent of distributed capacitances

    When the micropipet is coupled with the amplifier terminals A and

    B, the membrane potential EC is coupled with it via a high series

    resistance RT and a moderate shunt capacitance CD along with

    electrode potentials

    The impedance of the electrode places a limit on the response time

    of the circuit

    It behaves as a low pass filter when the input impedance of the

    amplifier is not high enough

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    o

    o

    o

    o

    Vo

    V2

    V1 .

    .

    e1

    e2

    Ri

    Ri

    Rf

    Rf

    Simple Differential Amplifier

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    Since the input current to an ideal amplifier is zero and by the principle

    of superposition, the voltage existing at the input terminal 1 is,

    e1 =Rf

    Ri + Rf

    V1 +Ri

    Rf + Ri

    Vo

    Voltage at input terminal 2 is,

    e2 =Rf

    Rf + Ri

    V2

    Since the potential difference between the two input terminals of an

    ideal amplifier is forced zero by the feedback through Rf, the voltage e1

    must be equal to e2

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    Therefore,

    Rf

    Ri + Rf

    V1 +Ri

    Rf + Ri

    Vo =Rf

    Rf + Ri

    V2

    Ri

    Vo =Rf (V2 - V1)(or)

    Thus the circuit amplifies the difference of the input signals V1

    and V2

    There is no virtual ground at the input to the amplifier in this circuit

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    Modes of operation of the differential amplifier

    Single ended mode either V1 (non inverting mode) or V2

    (inverting) equal to zero

    Differential mode the two input signals are equal but have

    opposite polarity

    Common mode the input signals are identical both in amplitude

    and phase

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    Isolation Amplifier

    Used to increase the input impedance of the monitoring system in

    order to isolate the patient from the bio medical instrument

    Used so that any electrical fault in signal conditioning or other

    circuits does affect the patient

    Some isolation amplifier circuits . . .

    Darlington Pair

    Bootstraping Circuit

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    o o

    o

    o

    ..

    Q2

    Q1

    RB RL

    - VBB - VCC

    X

    Y

    Z

    Zi

    Darlington Pair

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    o

    o

    o

    o

    INPUT

    OUTPUT

    Q1

    Q2

    R1

    R2R3

    R4

    C

    Re Re

    + VBB

    Bootstraping Circuit

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    Bootstraping Circuit

    A feedback network is connected in between the emitter of Q2 and

    the collector of Q1

    The feedback voltage created b the bootstrap voltage dividing

    network R1 and R2 is injected into the collector circuit of Q1

    An increase in signal level at the input of the circuit causes an

    increase in signal through the divider at the collector, changing the

    transistors bias point

    This further increases the input impedance

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    .

    .

    .

    .

    .

    .RA

    LA

    LL

    RL

    ElectrosurgeryFilter

    High Voltage andOver Voltage

    Protection

    Lead Selector

    STD1mV

    D.C.Amp

    Guard

    SynchronousModulator

    Modulator

    Driver

    Transformer

    SynchronousDemodulator

    100 kHzOscillator

    Rect.&

    FilterFloatingCommon

    + V

    - V

    Isolated PowerTransformer

    ECG Isolation Amplifier Circuit

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    The signals from the different leads are given to the low pass filter having a

    cut off frequency of about 10 kHz

    This is followed by high voltage and over voltage protection circuits

    The signals are now into the lead selector switch which is used to derive the

    required lead configurations

    Its output is given to a d.c. amplifier ( also used for calibration purposes )

    The primary of an isolated low capacitance power transformer is connectedwith the 100 kHz oscillator

    The secondary of that transformer along with the rectifier and filter is used to

    obtain isolated power supply of + 6V

    The synchronous modulator modulates the ECG signal from the d.c. amplifier

    Another transformer is used to deliver the output from the modulator to the

    synchronous demodulator

    Its output isinput to the power amplifierwww.eeecube.com

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    o

    oo

    oo

    Vout

    V1

    V2

    R1

    aR1

    aR1

    bR2

    bR2

    R2

    R2

    1

    2

    3

    -

    -

    -

    +

    +

    +

    Vo

    Vo

    Medical Preamplifier Circuit

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    Amplifies the differential signal and rejects the common modesignal

    Consists of three operational amplifiers

    First two are working in non inverting mode, but their inverting terminals

    are not grounded

    The feedback loops are connected with the inverting terminals

    The third acts as a differential amplifier

    With this configuration we get

    High Stability

    High Fidelity

    High CMRR

    High input impedance

    By means of virtual ground, the inverting terminal of op amp 1 is fed by

    voltage V2 through R1 and the inverting terminal of op amp 2 is fed by

    voltage V1

    through R1www.eeecube.com

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    Chopper Amplifier

    Used to convert the d.c. or low frequency signal into a high

    frequency signal

    Then this modulated high frequency signal is amplified by

    conventional a.c. amplifier

    The amplified signal is demodulated and filtered to get amplified

    d.c. or low frequency signal

    Types

    Mechanical Chopper Amplifier

    Non Mechanical Chopper Amplifier

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    o

    o

    o

    o

    A

    C D

    S1

    o

    o

    VoVi

    P

    Q

    Chopper Amplifier Using a Mechanical Switch

    M

    N

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    The chopper S1 is an electromagnetically operated switch or relay

    It connects alternatively the input terminal of the a.c. amplifier A to the

    reference terminal Q, which is usually connected to ground When the amplifier input terminal is connected with Q, it is short circuited

    and the input voltage is zero

    When the chopper S1 is open, the amplifier receives the signal voltage from P

    Therefore the input to the amplifier consists of an a.c. voltage varying from

    zero to the value of the input voltage

    A steady d.c. or slowly varying signal is chopped into a train of square wave

    pulses having a frequency equal to the rate of the chopper

    After amplification the chopped signal is rectified with a diode D

    The rectified signal is then filtered and amplified d.c. is obtained at the

    output terminals M and N

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    Photo Diodes

    Low LevelDC Input

    o o

    AmplifiedDC Output

    Oscillator

    AC

    Amp.

    Modulator Demodulator

    PC1

    PC2PC3

    PC4

    Neon Bulb(1)

    Neon Bulb(2)

    Low Pass

    Filter

    Non Mechanical Photoconductive Chopper Amplifier

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    The photoconductors or photodiodes are used as non mechanical

    choppers for modulation and demodulation

    When there is no light on the photoconductor, its resistance is so many

    mega ohms, it is in the reverse bias and no current is allowed to flow

    through it

    When there is incident light on the photoconductor its resistance is very

    low, it is in the forward bias and current can easily flow through it

    Thus it acts as a switch by means of incident light

    An oscillator is present which drives two neon bulbs into illumination on

    alternate half cycles of oscillation

    The neon bulb (1) gives flash of light on photoconductors PC1 and PC2

    which are respectively connected at the input and the output

    The neon bulb (2) gives flash of light on photoconductors PC3 and PC4

    Low level d.c. is present at the input

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    Whenever light falls on PC1 its resistance decreases and input capacitor

    charges

    When there is no light on PC1 and there is light on PC3, the input flows

    through PC3

    By the alternate incident light, a square wave is produced across the

    capacitor

    Its amplitude is proportional to the input and frequency is equal to thefrequency of the oscillator

    An amplified square wave voltage is obtained at the output of the amplifier

    The two photoconductors PC2 and PC4 in the amplifier output circuit

    recover the d.c. signal by their demodulating action and the output

    capacitor becomes charged to the peak of the output voltage

    Then this d.c. voltage is passed through a low pass filter to remove any

    ripples and finally amplified d.c. output is obtained

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    Electrocardiography

    ECG deals with the study of the electrical activity of the heart muscles

    Heart is divided into four chambers

    The top two are atria and the lower two are ventricles

    The right atrium receives blood from the veins and pumps it into the

    right ventricle

    The right ventricle pumps the blood into the lungs where it is purified

    and oxygenated

    The oxygen enriched blood enters the left atrium from which it is

    pumped into the left ventricle

    Then the left ventricle pumps the blood into arteries through aortic

    valve for circulation throughout the bodywww.eeecube.com

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    Each action potential in the heart originates at the Sino - Atrial (SA)

    node which is situated in the wall of the right atrium and near the

    entry of the vena cava

    Also called as Cardiac Pacemaker and generates impulses at the

    normal rate of the heart, about 70 beats per minute at rest

    The action potential contracts the atrial muscle and the impulsespreads through the atrial wall during a period of about 0.04 second

    to the Atrio Ventricular (AV) node

    The AV node acts as a delay line to provide timing between the

    action of the atria and the ventricles

    Then a special conduction system carries the action potential to the

    ventricular muscles

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    This system consists of a short common part (the bundle of His),

    two bundle branches on each of the septum and fine Purkinje fibers

    which arborize in the ventricular muscle

    The atria and ventricles are functionally linked only by the AV node

    and the conduction system

    The AV delay is provided so that the atrial contraction can complete

    the ventricular filling before the contraction of ventricles

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    ECG Lead Configurations

    Usually surface electrodes are used with jelly as electrolyte between skinand electrodes

    The potentials generated in the heart are conducted to the body surface

    The potential distribution changes I a regular an complex manner during

    each cardiac cycle

    So standardised electrode positions are chosen

    Types of electrode systems

    Bipolar Limb Leads (or) Standard Leads

    Augmented Unipolar Limb Leads

    Chest Leads (or) Precordial Leads

    Frank Lead System (or) Corrected Orthogonal Leads

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    Bipolar Limb Leads

    In standard leads, the potentials are tapped from four locations

    Right Arm

    Left Arm

    Right Leg

    Left Leg

    The right leg electrode is used as ground reference electrode

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    b

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    . .

    Vout Vout

    +

    -

    +

    -

    Lead I Lead II

    Standard Bipolar Limb Leads

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    b

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    .

    Vout

    +

    -

    Lead III

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    b

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    Lead I Position gives voltage drop from the left arm to the right arm

    Lead II Position - gives voltage drop from the left leg to the right arm

    Lead III Position gives voltage drop from the left leg to the left arm

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    b

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    -

    + +

    +-

    -

    Lead I

    Lead IIILead II

    Right Arm Left Arm

    Left Leg

    The Einthoven Triangle

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    The closed path RA to LA to LL and back to RA is called the

    Einthoven Triangle

    According to Einthoven, in the frontal plane of the body the cardiac

    electric field vector is a two dimensional one

    The ECG measured from any one of the three limb leads is a time

    variant single dimensional component of that vector

    Along the sides of this triangle the three projections of ECG vector

    are measured

    Further the vector sum of the projection on all the three sides is

    equal to zero

    Thus, following Kirchoffs law, the R wave amplitude of Lead II is

    equal to the sum of the R wave amplitudes of leads I and III

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    . .

    Vout Vout

    +

    -

    +

    -

    Lead aVR Lead aVL

    Augmented Unipolar Limb Leads

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    .

    Vout

    +

    -

    Lead aVF

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    Augmented Unipolar Limb Leads

    The ECG is recorded between a single exploratory electrode and the

    central terminal which has a potential corresponding to the center ofthe body

    Two equal and large resistors are connected to a pair of limb electrodes

    The center of this resistive network acts as central terminal and the

    remaining limb electrode acts as the exploratory electrode

    A slight increase in the ECG voltage can be realized

    The lead connections are

    augmented Voltage Right arm (aVR)

    augmented Voltage Left arm (aVL)

    augmented Voltage Foot (aVF)

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    o o

    DefibrillatorProtection

    Circuit

    LeadSelector Bioamp

    CM ReductionAmplifier

    IsolationTransformer

    IsolatedPowerSupply

    PowerSupply

    OutputUnit

    o

    o

    a.c.Power

    Calibration

    1 k

    1 M1 V

    aVRaVL

    aVF

    COFF

    1

    2

    3

    ECG Recording Set Up

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    Electroencephalography

    Deals with the recording and study of electrical activity of the brain

    By means of electrodes attached to the skull of a patient, the brain

    waves are picked up and recorded

    Helps to diagnose

    Level of consciousness

    Sleep disorders

    Brain tumors

    Epilepsy

    Brain death

    Multiple sclerosis

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    Stage 1 Stage 2 Stage 3 Stage 4 Stage 5

    DriverAmplifier

    ControlUnit

    Pre Amplifier

    Input

    Input

    Input TraceAmplifier Writer

    Block Diagram of EEG Recording Set Up

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    .

    ..Input EMG

    Amp.

    Oscilloscope

    TapeRecorder

    A.F.Amp.

    Speaker

    Block Diagram of EMG Recording Set Up

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    The surface or needle electrodes pick up the potentials produced by

    the contracting muscle fibers

    Types of electrodes

    Bipolar two surface electrodes

    Unipolar one surface and one needle electrode

    The signals are displayed on a cathode ray oscilloscope

    The signals are also recorded in the tape recorder for future

    reference

    The sounds from the loud speaker can be used to diagnose theneuromuscular disorders

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    Determination of conduction velocities in motor nerves

    The nerve function is examined directly at the various segments of the nerve by means of

    stimulating it with a brief electric shock

    By measuring the latencies the conduction velocity is calculated

    Latency elapsed time between the stimulating impulse and the muscles action potential

    Procedure

    The EMG electrode and the stimulating electrode are placed at two points on the skin,

    separated by a known distance l1

    A brief electrical pulse is applied through the stimulating electrode

    When the excitation reaches the muscle, this contracts with a short twitch

    The elapsed time t1, between the stimulating impulse and muscles action potential, is

    measured

    Process is repeated for distance l2 < l1, the duration is t2 seconds

    The conduction velocity, v = l1 l2

    t1 t2

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    Electroretinography

    Recording and interpreting the electrical activity of eye

    All sense organs are connected to the brain but the eye has a special

    relationship as the retina is the extension of the cerebral cortex

    Potentials within the eye can be easily recorded because of its

    exposed position

    If the illumination of the retina is changed, the potential changes

    slightly in a complex manner

    The recording of these changes is called the electroretinogram

    When light falls on the retina, the absorption of photons by photo

    pigments localized in the outer segment of the retinas

    photoreceptors takes placewww.eeecube.com

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    This causes the breakdown of photo pigments which results in the

    liberation of ions that cause a change in the membrane potential

    This in turn results in the development of action potential that is

    transmitted down the optic nerve

    This action potential is picked up by the electrodes and fed to the

    bio amplifier and recorder The recording set up is similar to ECG

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